ADHD (4) Flashcards Preview

MSII: Behavioral Science > ADHD (4) > Flashcards

Flashcards in ADHD (4) Deck (18):
1

What are the different types of ADHD?

ADHD combined

ADHD inattentive

ADHD hyperactive/ impulsive

Other/ unspecified

2

According to the DSM-5, at what age must ADHD start before?

12yo

3

What are some additional criteria for ADHD diagnosis?

Symptoms must be in multiple settings

Must cause social disability

4

What type of ADHD do these symptoms correlate to?

Poor attention to detail, cannot sustain attention, does not listen, does not follow through, does not organize avoids tasks, loses things, is distracted, is forgetful

ADHD inattention...need 6 symptoms for 6 months

5

What type of ADHD do these symptoms correlate to?

Fidgets, leaves seat, runs/ climbs, not quiet, talks a lot,, blurts out, cannot wait turn, interrupts

ADHD hyperactivity/ impulsive...need 6 symptoms for 6 months

6

T/F: Mild/ more inattentive cases may not be noticed until later in life when demands are greater

True

7

T/F: Hyperactivity tends to persist into adulthood than inattentiveness

False...the inattentiveness usually persisits

8

What genetic abnormality is associated with ADHD?

Chromonome 16 mutation that leads to defects in dopaminergic or noradrenergic system

9

Explain the neuronal/ brain developmental delay seen in ADHD?

Develops 2 years slower...improper synapse pruning

10

What happens to the anterior cingulate activation in ADHD?

Decreases

11

What are the key neurotransmitters involved in ADHD?

Decreased NE and DA in the PFC

12

What should be on the differential Dx when considering ADHD?

Autism spectrum disorder, learning disability, substance use disorder personality disorder, bipolar disorder, anxiety

13

What are two main ways to control ADHD?

Psychotherapy (behavioral modification and training) and medication

14

What types of medication work well for ADHD in adults, teens and children?

Stimulant class...promotes DA and NE activity

15

What are the risks of stimulant use in ADHD?

Risk of addition, paranoia, stunt growth/ weight loss and possible cardiac issues

16

What are the nonstimulants used for ADHD and what is their class?

NRI: atomoxetine

Alpha-2 agonist: guanfacine ER and clonidine ER

17

How do nonstimulants work for ADHD

Increased cortical NE

Bind glutamate pyramidal neurons in the PFC to close ion channels to increase signal strength to neuron and increase NE and DA

18

T/F: 2/3 of children with ADHD grow up to have no psychopathology or mental disorder in adulthood

True